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1003 Stony Point Rd CITY OF KAGAN Permit No: Date: 3830 Pibt Knc*b Road Meter No: 3~7 U 97 ~ d Size: P.O. Box 21199 Reader No: ~4 ~ 9~~. Date: 3 Eagan, MN 55121 Owner. ~=ollere ~it~~ Const. SiteAd~?Ra~ 11103 5toney Paint Roac~ T'J ~,s:::;_~~to~~ Sa 7tI~ Plumber. ~tar Plumhin ~ Conn. Chg: 55!). ~~Opd ~ ~ RJ. , Acct Dep: 15.OQ d ~~~~,5 1- Permit Fee: I C . ' ; ~ 4!re ~ ~'s =,~,.~R1~ - ~~S ~iC. Surcharge: •`~~p I_ags f~ly wlth the Ciq? of Eagan Tr. Plant . ' Meter. r~Z, l.~,; ~ Misc.: By WATER SERVICE PERMIT _ . ~~~•w qTY OF'EAGAN Permit No: ` . - . . . 3a30 filot Knob Road ; i~ , Date: .9 ` B/P Na ~ Data I F--' ^ P.Qy ~ox21t89 . Eayan, MN 55121 p„y~ :~ollege Citv Const. SfteAddresa ? ~03 Stoney Point Road L~ r , i r. ; . - Plumber. Star P U~ MWCC ~ ~ , ~ ~ Clty Chg: ' ~ , in9' ~ , , ~ OB&~. i~1~; ~ Acct Dep: - Tc~ -a~;nr ~~-i FrTR A~ E~^ Permit Fee: . . . _ . . ~r wnn ~ns cny a ~,n ; Surcharg~: - Mise.: r BY, SEWER SERVICE PERMIT ~ , - ~ ~ ------,.~.a-.~w~•~ . - _ :._-:~-,3s.~a,r-r-- - - CITY 4F ~AGAN Permit No: Date: 3-9-~~ 3830 'ilot Knob Road Meter No: Size: P.O. Box 21199 ~ Reader No: Dat~ Eagan, MN 55121 Owner. ~ e~e City Const. SiteAddress: ~~~~"~toney Paint ~nad L9 Ra- Xin~~Lne~ trt 7r1, Plumber. ~ tai Plumb ine Conn. Chg: 5~~-~~ Zoning: T'1 Acct Dep: 1S No. of Units: 1- ' Permit Fee: l~. OOp~ Surcharge: • 5~~ 1 agree to comply with the City ot Eayan Tr. Plant Z04 . t~~nd Ordinancea. ~ ' Meter. 67 ~ gt~ ~ ~ ! Misc.: BY ~ WATER SERVICE PERMIT ~ ; - - . , CITY O~ EqGAN Permit No: Date: ~ 383p Pllot Knob Road g~p Na. ~ x~ Date: = P.O.~ox 211~ . . o Ea~ah, MN 55121 , Owner. ~A~-.e C:iLI ~-,rs: . Slte Address: ~-cmey Paint ^oad I.~~ R~ r,= i~~ t-c,t ~ , ,i ~ Plumber. - ~ MWCC: Zoning• City Chg: ~ . 1Cp No. of Units: Acct Dep: ~ ' Permit Fee: ~ e9?ee to comply wfth the Cfty c} Eegan Surcharge: • - Ordinances. ~ Misc.: By SEWER SERVICE PERMIT ~ _ _ _ - - - - - - - - - - - , ~ CASH RECEIPT - . ~ - CITY ~F EAGAN 3830 PILQT KNOB ROAD • ~i EAGAN,~MIPfNESOTA 55122 , DATE ~ ~ 19 ! 1 R<C6F1~~ ~ 1 f ~ . ( : _ . 4 ~ , $ ' I C AMOUNT 6 DOLLAFiS ~o• ~ CASH CHECK ~ow ~ ~~/C.IILr .L % j ~ ~ ~ ,~`/L(.G I [r~t'J,' - '1 x ~,1; , FUND Q,ObE AMOUNT Thank You B Y ~ - E , ~ J ~ White-Payers Copy ' Yellow-Pottiny Copy Pink-File Copy BLDG . PERMIT ~NO. SJ ~ ,r , . _ i~i ! r"J - " 1~ o?__- ~ ~7~ , _ , , ~Y . ~ ~ L~ 01-3210 Bldg. Permit ' ~ C-U 01-3422 Plan Check ~ ~C~ 01-3445 Surch./Adm. Q 01-3446 SAC/Adm. ~ 01-2155 Surcharge ~ ~r i ~ ~ ~ 1-7-+3860 Road Unit ~ ' 20-2275 SAC ~ 20=3865 Water Conn. r;- 20-3868 Water Trmt. ~ C.•"-~ ~ ' 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. C.- ~-r-3855 Park Ded. TOTAL ~ ' ~ ! CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ~ PH O N E: 454-8100 BUILDING PERMIT Receipt~ : L s~ Lkclc:a:~ s~U ~~o To be used for Est. Value ? Date ,19 Site Address 1003 STONY PO1N? ltU OFFICE USE ONLY Lot ' Block ; Sec/Sub. ~-EXIi~G?OA1 $Qi'ARE On Ske Sewage Occupancy h~ 7Tii ADD. MWCC System x Zoning ~ ParCel NO. On Site Wetl (Actual) Const V~ COLI,LCF CI1"t COIIST Ciry water X (Allowable) Ya oc Name W !5y ~0 t S 1 sr sT PFV Required # of Stories = Address ~ City a` V• Phone ~31 " ~ 2 t 1 ~Ster Pump Length Depth SU , o Name `St~~'~ S.F. Total ~ ~ AddreSS Footprint S.F. ~ City Phone qpPROVALS FEES ~oc Engr./Assess. Permit ~ 53&.~ W Name 4S.C10 ~ Z Planner Surcharge _ - Address ~ Z Cit PhOne Council Plan Review ~~7 ¢w Y a BIdg.Off. SAC, City ~ I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct anct agree to comply with all applicable State of Water Conn. ~ SO. ~ Minne~ota Statutes and City of Eagan Ordinances. 6~ ~ Water Meter • Sig~ature of Permittee _ -_~1~~. Road Unit ~2S.il~] A+Building Permit is issued lo: • ~ Treatment P1 'IC~L-[9(7 on thie express condition that all work shal e done in accor ance with a~ Parks applicabl~ State of Minnesoia StaZUtes and City M Eagan Ordinancesr' ~ 4' Building Official_~ ' ' - _ T~TAL _ . . _ , CITY OF EAGAN ~ r~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ~~r ~ . PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block SeC/Sub. ~ On Ske Sewage Occupancy MWCC System Zoning Parcel No. On Slte Well (Actual) Const a Name Ciry Water (Allowable) W PRV Required # of Stories ~ Address ~ City Phone ~ Booster Pump Length Depth , p Name S.F. Total ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES ~ ac Engr./Asaess. Permit y~j W Name . : ~ ~ W Planner 5urcharge = Z Address a Z City Phone Council Plan Review ` W Bldg. Off. SAC, Clty I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road U~it A Building Permft is issued to: ~ Treatment P1 on the express condition that all work shall be done in accordance with alt applicable State of Minnesofa Statutes and City of Eagan Ordinances. Parks TOTAL Building Official Permit No. Psrmit Nold~r Date Tel~phons * Plumbing 7~~y ~ ~~i H.v.ac. ~ ' 8 ~ Electric ~ 7, - a Softener Inspectlon Date Insp. Comments Footings I ~ Footings II Foundation Framing ~ _ Roofing Rough Plbg. l~, Rough Htg. ~ Isul. 3 /i Fireplace Final Htg. ,a8 Final Plbg. Bldg. Final Cert.Occ. - ~ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . 4 - ~ ~~er#ifir~#~ ~f (~rru~ttnr~ ~Citp of ~agan ~P~1"briPtTf A~ ~~irii~ .~t[H}1PtftDlt This CertiJecate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code eertifying that at the time o, f issuaace this structu~e w~as in compliance with 1he various ordinances of the City regulating buildrng constn~cdon o~ use. For the following.~ lJx ClaaiSnuaai . B{dg. Rmut No. ~P~7' ~'P~ !ti 7aning District Type Caml Owou of &n'Iding ~ 1 i p~~ I:! t r. . BuildiOSAdd?!aa i t I.Oqliq, '3ry'~~i'1'I~d1] ~~ai'~i'r pue. 'l. ~+:~'`t!i.r ~ 28, tQ~ Huilding ~cid POST IN A CONSPICUOUS PUCE ~i( v,; c - s ' •~i; : sa ' rf ? . " . . . . , i w q PERMIT # ' ~ ' PLUMBING PERMIT RECEIPT tt ~ ~ CITY OF EAGAN ~ , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address t- < < ~ ~ ~ ~ BLDG. TYPE - WORK DESCRIPTION Lot Block Sec/Sub Res. New - Mult. Add-on m Name ~ ~ Comm. Repair ~ Address ~ ; Other c City ' ~-i~~ ~ Phone ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL Name ' t Water Closet -$3.00 S ~ ~ ZBath Tubs - $3.00 c Address u Lavatory - $3.00 .~_Shower - $3.00 p;' City ~ Ph6ne1 ~ ~ ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -~3.00 APT. BLDGS - COMM RATE APPLIES ~Floor Orains -$1.50 TOWNHOUSE 8~ CONDO - RES. RATE APPLIES Water Heater -$t 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (AOQ $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.06 , ~ Private Disp. - $10.00 : ~ ~..-ti~-i _ Rough Openings - $1.50 SIGNATURE OF PERMITTEE ' ~ FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ PERMIT # y ~ ~ • _ ' ' ~AECHANICAL PERMR RECEIPT # ~ ! ~ . ~ CITY OF EAGAN ,p _ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 1~ CONTRACT PRICE: - ~ ? PHONE: 454-6100 ~ite Address ' ~ ~ ~ ~ BLpG. TYPE WORK DESCRIPTION Lot `"f Block ~ Se / Sub t - ;c,% _ ~ I~es. New Mult Add-on m Name ' ~ ~ • ~ . Address J' ~ r Comm. Repair ~ City • ` ' ~ Phone ~r t FEES Name , 4, RES. HVAC 0-100 M BTU -$24.00 ~ c Address J~-J~ ` S T ADDITIONAL 50 M BTU - 6.00 p City- + Phone ~"~~t ~ I (RES. HVAC INCIUDES A/C ON NEW * CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERiNIn - 1.50 EA. TYPE OF WORK , COMM/IND FEE - 1~ib OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M 8TU REMODELS - 12,00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM {ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # ~ ' BEYOND $1,Q00) Other ~ FEE: ~ , . ; " 1 ~ - S/C: ~ - SIGNATURE OF PERMITTEE TOTAL• ' ` ~ FOR: CITY OF EAGAN ~-...~d -~..~'~.:::~rr.:.-c ...v-,... , .°':rT~-.., . -sx~~1,t°'1P.~,_„i. ~,a yF,_,r'S:"" .c.,,..~v.. .r . ~ ~ CITY OF EAGAN ± ~ 18284 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - BUILDING PERMIT Receipt # I To be used for DBCK Est. Va~ue S1 ~400 Date AUG 2Z _ 19 90 Site Address lOQ3 STOl1Y POINT RD Lot 9 Block 4 SeciSub. ~i~"roN SQ ~ OFFICE USE ONLY PBfCeI NO. Occupancy - FEES Zoning ¢ Name JOHN SILVER!!AN ~ - Zs~pp W (Actual) Const _ Bidg. Permit o Address 1003 S7'ONY POII~' itD ~Allowable) - Sutcharge City Phone b~S"74~ # or sco~~es Length 1~~ Plan Review o Name DQNIEL KING Z ~ Depth ~9 SAC, City Address r+938 29Tli AVB S S.F. Total U~ City Phone ~Zi-3212 S F. Footprints _ SAC, Mcwcc ~ On Site Sewage _ Water Conn ¢ Name ~ W On Sil9 Well - Waler Meter ~ ; Address Mwcc sy~~em oc = Acct. Oeposit a W Ciry Phone c~ry wa,e~ _ PRV Required _ S/W Pemtit I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surcharge inlormation is correct and agree to comply with all applicable State of Minnesota Statutas and C~ty of Eagan OrdinanCes. Treatment PI Signature of Permitee ' l ' APPROVALS Road Unit A ewlding Permit is issued to: DANIEL KING Planner - park Ded. on Ihe express condition that all work shall be done in accordance with all 1•~ applicable State of Minnesota Statutes and City ol Eagan Ordinances. ~ Copies BIdg.Off. _ Building Otiicial Variance - TOTAL ~6~ ~ Permit No. Permit Holder Oste Telephone ~M WATER SEWER PLUMBING H.V.A.C. ELECTRIC Mspection Date Insp. Comments Footings I Foundation Framing aoofing Rough Plbg. Rough Htg. Isul. Frepiace Final Htg. Fnal Plhg. Const. Meter Plbg. Inspector - Nolily Plumber Engr./Pian Bldg. Final Deck Ft9• ~ /1 t /'~o ~ ~-Z~ ~G ~ F~i y' 30 we~i Pr. oisp. This requesl void ~~vf/d~J _ / ~ 18 months irom ~ D 8 ~ 9 2 9,~ i ~ a~~ Request Uate [j ire No. R p~ i~~InsVer,[ion rfqeady Now Q Will Notify, Inspec- - ~ ~ ~j Vas ?NO ~t' ~~r When Ready LicanseA Electrical Con~actor I hereby repuest inspection ol above ? Owner electrical work installed et: Sveet Address, Boa or Noute N Citv /003 S'~.~,z ~o~ti ~ ~ ecl~on o. Towns~iD ama or No. FanBe No. Counly ~,Cn~n Occupen~ ~Pqlyl'q~ Phone No. / 7 L/ Power uppl~ ~r / Address 1 ,4- ~Cd Y-a7- l.r'/ t- <~c, ~ ~ rry-~` / D r~1 Elec[n a Contracmr ICompa,n~ N~ me) Con nr.mr's Licr.nse No. ~e ~v,~,-c,~. .~'lev~ ~ ~D MailinB °.d es I~ntra r or Own r Making Ins -'l/a~ionl r~ T ~ I~/ Au[horiz e Con ~ m ner akinB ~~s[allalinnl , Phon umb¢r ` .1~ 7~/ MINNESOTA STpTE BOAflD OF ELECTflICITY THIS INSVECTION REQUEST Wlll NOT GriB98-Midwey Blde. - poom N-191 BE ACCEVTED BY THE STATE BOAAD UNLESS PflOPEN INSPECTION FEE IS i821 Universitv Ave.. SL Paul. MN 56104 Phone1612)642~0800 ENCLOSED. ~~//`7~3~~ REQUEST FOR ELECTRICAL INSPECTION ee-noooo~-os , Sae instructiens fo~..~%~ing this lorm on beck ol vellow coCV- ~ ~~a[ O~~ ~ 8 3 9 2 9 "'X" Be/ow Work Covered by Ihis Request ~ HdA Bep. TvPa ot Builtling APV~iOncea Wind Equiumanl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Bec[ric HezLn Commercial Bldy. Fumace Silo Unlonder Industrial Bidg. Air Conditioner Bulk Milk Tdnk Farm O~~er oeu y O~her ISncr.ify) t er Sueci(y O~her Oth~r ompute lnspection fee Belaw Fee Service EpVanceSiae N Fee Fenders~5ubfeaders # fee Circuits U to 200 qm s 0 to 30 Am s ,ua 0 in 30 Am Above 200 qmps~ 37 to 100 qinps / .UO 31 to 700 A s Swinuning Pool Above 100-P.mps AAove 100_A~~ s Transiormers Irrigation Booms Par[ial.~Ot e Signs Special Inspection Nemarks S~~~D TOT E w ~(J qpuBh-in Dnte I, the al Inspectoq hereby ertity that the above Pinal 9^~~1~ insDection has been ~ ~ mede. ~~M requast vdC 1B monlna irom , CITY OF EAGAN N~ ~ 8284 ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 C BUILDING PERMIT Receipt # LO To be used for DECK Est. Vaiue $1 ~ 000 Date AllG 22 ,~g_4~ SiteAddress 1003 STONY POTNT RD Lot 81ock Sec/Sub. LEXINGTON SO 7TH OFFICE uSE ONLY P8lC8~ NO. Occupancy - FEFS w Name JOHN SILVERMAN zon~~q = (AcluaqCansl BItlg.Permil 2S.nn ; AddreSS 1003 STONY POINT RD ~Allowable) ° Cit EAGAN - Surcha~ge .50 y Phone 668-7496 satstories Length Ibl[. Plan Review o Name i1pNTRT. KTN(: Depih ~x19 SAC, City g~ AddfeSS 493R 99TH AvR S S.F.TOtal _ ~ CISY MPT.S Phone S.F. Foo~prints _ SAC, MCWCC ~ On Si[a Sewage _ Water Conn °w Name on si~e wen ~+w - Water Meter x~ Address MwcCSs~em a~ City Phone City Waler _ AccL Deposit PRV Required _ S!W Permil I hereby acknovAege Ihat I have read ihis applicalion and slale tha[ the eooster Pump - ~W Surcharge iniwmation is correct an agree to comply vvv{{{rth al! applicable State of Minnasota Stalutes and of Eag - rdin ~es. U' Treatmem PI SlgnaWre Of PefmitCe APPROVALS Road Uni~ A Building Permit is issued to: DAN jN P~anner - park Oed. on the express condition that all work shall be done in accordance with all Council applicable State ot Minnesota StaWpres aInd Ciry of Eagan Ortlinances. gidy_ p~~. CoOies 1. 00 Building Official .~A~ 1\DI.(A. Varience - TOTAL ~ CITY OF EAGAN (v~ 14 614 • ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Q ~ g~~ BUIIDING PERMIT Receipt# O ~I~y To be usedfor SF DWG/GAR Est. Value $90,000 Date °7 a ,19 0 Site Address 1003 STONY POINT RD OFFICE USE ONLY Lot 9 Block 4 Sec/Sub. LEXINGTON SQliARE Site Sewage - Occupancy R3 7TH ADD. MWCCSystem X Zoning PD ParcelNo. OnSiteWell (ActuapConst Vn : Name COLLEGE CITY CONST Cirywater X (Ailowable) Vn ~ Add~ess 6970 151ST ST PRV Required _ # of Stories ° City A•V• Phone 431-1211 BoosterPump _ Length 54 Depm 50 , o Name SAME S.F.Total Oa AddfeSS FootprintS.F. ~ City Phone pPPROVALS FEES W W Engr./ASSess. Permit ~ 534.OC Name 45.OC ~ Z Planner Surcharge i- Address ~ z City Phone Council Plan Review 267.OC a W Bldg. Off SAQ City ' 100.OC I hereby acknowledge ihat I have read this application and state that the Variance SAC, M WCC 550. 00 information is correc} antl agree to comply with all applicahle State of Water Conn. 550.00 Minnesota Statules and City of Eagan Ordinances. Water Meter 67 .00 Signature of Permittee Roatl Unit _3.2.~7...00 A Building Permit is issued io:_GOI,LF.RR-EE_T~C~ Treatment P1 - 00 ontheexpressconditionthatallworkshalit~eaonemaccor ancewitha applicable Stat m so a a s an i a rdinances Pa~ks TOTAL ~Z~642.00 Building Offic. 1~~ - _ ~7' 5 y 1~~7 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 ~ ~ ( . ~ ~ New ConaW ction Reauirements RemodellReuair Reauirements • 3 registered site surveys showing sq. ft. of lat, sq. k. of house; and all roofed areas • 2 mpies of plan (20 % maximum lot coverage allowed) . i set of Ene~gy Calculations for healed additioia • 2 copies of plan showing beam & window sizes; poured fourM desigq etc.) • t site survey for extenor addiEons & decks • 1 set of Energy Calculatbns • Indiwte if Mme served 6y septic system kr additbre • 3 copies of Tree PreservaUon Poan if lot platted aRer 711/93 • Rim Joist Defail Optiore 9election sheet (hldgs with 3 arless units) oaTe ~S-a ~ ~ 0 vAwArioN ~10'~- SITE ADDRESS O~ 3 ~YJ O MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ~ FIREPLAGE(S) _ 0_ 1_ 2 APPUCANi ~OFING & REb10?ELIPtG, INC. STREETADDRESS $T.LOITIBPARK,MN 55416 CITY STATE_ZIP ID #0001060 TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER V L~-IT~~ I U~Y~QI/~ TELEPHONE# ~5('~I~-~~I~ COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[INNESO'1'A RULES 76~0 CATEGORY 1 1~IINNESOTA RULES 7672 (d submissbn type) • ResitlenGal Ventilation Category 1 WoAcsheet Submitted • New Energy Code Worksheet Su6mitted . Energy Envelope Calculations Submitted Piumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioiung Fee: $70.00 _ Heat Recovery System Sewer/Water Conhacfor: Phone # i hereby acknowledge that I have read this application, sTate that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant _ n~ ~ ~ t~n~_~''~II --OFFICE USE ONLY J~ I AU~ 2~ 1'~i3~~ - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . ~ a ed 4I02 I OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ~ 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? ti 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolkian (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaVNo C.O. _ Footings (addirion) _ plu~~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Watec _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ FIanw~$ _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Retauilng Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 15 S,~ 9 RESIDENTIAL . ~ BUILDING PERMIT APPLICATIOPI CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction RaauiremanU RemodeURevair Reauiremants • 3 registered si[e surveys showing sq. R. of b[, sa. ft. of house; aM all roofed areas • 2 copies a( plan (20% maximum io~ coverage alloweC~ • 1 set ol Eneryy Calculations for healed adtlitions • 2 copies of plan showing beam d windcw ;izes; poured fcund Oesign, etc.) • 1 sile survey for extenor addilions & decks . 7 set ol Energy Calculations • Indicate if Mme sened by septic system for adAiUons • 3 copies of Tree Preservation Plan i( lo~ a~arted aRer 711193 • Rim Joist Detail Options sHection sheet jCldgs wiN 3 or less unAS) DATE g Z~ ~ VALUATION V SITE ADDRESS ~0~~ J~~ d~`L 06tv~.~ ~~0'1 MULTI-FAMILY BLDG _Y _N TYPE OF WORK ~~nt.._^~sD <E' ~Je-n(¢ C1Z 5/c~.~...-~ ~rn ~SQ d` FIREPLACE(S) _ 0_ 1_ 2 c~a.ra_c~L 4utS~uC~ APPLICANT SELA ROOFING & REMODELING. ut,~ 41 ~XCECSIOP~~L~iB. STREET ADDRESS gr i oUII~S PARK, MN 55a1F CITY STATE_ZIP TELEPHONE #Ca~Z-`~Z~-rS~O~'I~o GEL~L PHONE # PAX # PROPERTYOWNER V fc.~t, ~~tU~JI,~~. TELEPHONE# 6~-7`F`^Z~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~II\\LSO"f:1 NUI.k:S i670 C:Yf1:G012]" l M[V Y'i " t? submission type) • ResidenGal Ventilatlon Category 1 Worksheet Submitted • New ~ rl~t~~~ SuVb ~'fI • Energy Envelope Calculatlons Submitted ~I AUG 2 9 2002 ~ Plumbing Contractor. Phonc # Plutnbing syste~n includes: Water Soltener _ I.awn Sprinklcr ee• • ~Vater Heater _ No. oE R.I. Baths No. of I3adu Mechanical Contractor: Phone # ~[cch.uiic;d svsicm includr;: r\ir Condiuoniug r«: y70.00 . 1-[cat Rccovcr}• 5~•stcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, sfate that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. Signa}ure of Applicant .L^ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated Jl02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ~ 30 Accessory Bldg ? 02 SF Dwelling ~ 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Mutti ? 03 Ot of _ plex ? 09 07-plex ~ 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new hldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulatiou _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Capies Other Total o:ss 58 0%9`)9 =bhXO9£/ ~ X R ~i x z ~h -~z x Z h~ =hi J~ 1 h2 = hZ x ~ ~bll = ~ X~h ~s na H 8hS51 cg~ X ~161I =9Z X9h ~ ~ ~ V.13St/ Q • , 26EL = firx s25 =hzxza 4 , 39t~d'd~ , . . ~10 ~ ~tr m b~ , 1988 BUILDING PERMIT APPLICATZON - CITY OF EAGAN SINGLE FAMILY DWELLINGS / INCLUD~SETS OF PLANS, 3 CERTIFICATES OF SURVEY~ ~E OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS If OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECR WITH HLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SI ~Q,-{'0.v1~j~1} - . -a ~y~,f~-,,,, ~ To Be Used For: d!~{' APd1.- N210 ~0~'?LValuation: ~'D~T~~ Date: ~g Site Address ~OQ~ StOF1A~~• ~,p~~ OFFICE USE ONLY `~D~ ODV - Lot ~ Block ~ On site sewage Occupancy R- 3 '''yyy~~~""" MWCC system ~ Zoning PQ. R-1 Parcel/Sub I~)YID~(,~,~,yQr ~ On site well Actual Const V-N Owner 1.0~~Q.~~. CI~(,} I~DK~irUC~l,~- PRVyrequired ?#lofWStories V-N I Qry~ I~I St rL Booster Pump _ Length 5`/~ Address lo I ~'f Depth 50' 1'-n/~..I S.F. Tota1 City/Zip Code Y~.x~y~ 551z Footprint S.F. Phone `j"3~ - ~ APPROVALS FEES ~llQy¢~ ~ons~-rt~C'fi~ Contractor ngr/Assess Permit 53~. - /~qc-(''~, Planner Surcharge y Address ~p 1 d 'J ~ Sf ~y( • Council Plan Review a(~7, ~ r Bldg. Off. SAC, City IbO.°_ City/Zip Code ~ y JJ~~Z Variance SAC, MWCC $ p,~° ~~I ~ I a, ~ Water Conn p,~ Phone Water Meter , o~ Road Unit 325,pO Arch. /Engr. ~4.Ytil.~ (~j.s Q w~jQ.l~ Treatment Pl 2Dy ~°D Parks Address Copies i TOTAL City/Zip Code Phone # 88-012 ~ TRI-LAND C0. SITE PLAN FOR~ ~ SURVEYING SERVICES COLLEGE CITY 1260 YANKEE DOODLE ROAD CONSTRUCTI~N EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION~ LOT g,BLOCK 4~LEXINGTON SQUARE 7TH ADD. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA S 89°46' 32" E B87`l 9~.~Q 8B5"4 DRAINAGE 8~ UTIIITY EASEIv1ENT - 10 ~ ` ~ 5 30 L T 9 I LC~ i~ ~ SCALE NI" = 30' Q 3 ~ 3 - ~ - I ~ ~ _69/"6 89/'S7 ~ N 10~ ~ N O j 46~ - ln PROPOSED ~ ~ m o II7 30.5~ N HOUSE N I lC~ o I ~O I I ~ N pq' i 8' I i i m ~ 5.5' ~ GARAGE N I ~ ~ i 10~ ~ ~ 22' I 10~ ~ I o- 8~3~~ - - - - - `L r -0 895'27 ~ a ~ ~ ~ ~ W m m 10 ~ M ~ ~5 z a o w.v. o ~ 890'l 8y~+9 ~ 90.00 893~~ S 89°46' 32" E ~ N STONY POINT ROAD B9d'B 892 4 893`O ~EGENp ~NVf~Ft7 EL~VATIGN A'( SERViCE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION- ~v~~Y o DENOTES SEL SPIKE PROPOSED FIRST FLOOR ELEVATION = 89YY9 B9a`~ DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =$QOr9Q ELE VAT I O N E LE VAT I ON DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I haraby certify fhat ihis survey,plan or e report was prepared by me or under my direct supervision and that I am a duly Bradley enson, Mn. ReQ. No. 15235 ; Reqistered Land Surveyor under ths : Laws of the State of Minnesofa. Date I/.~~8g i . , ~ EXTERIOR ENYELOPE AVERAGE "U" COt4PU71lTIDN , OFINER CD I I Q. l~i l~ O V~S~'Y l,~C~ I Ok~ ~yt~ S1TE ADDRESS ~O~_ ~ ~0I Yl~ ~ ~ / ` EE~--- GONTRACTOR C o~~~GE ,r~ ~ DATE a"~ S~ PHONE I~ o~ ~ Determine working square footage of each. . . Z049 sq. ft. x:~_ ` 2-z~ 1. Total expased a~all area • .2. Total roof/ceiling arca '~"3 sq. ft. x,OZl~ ° ~a•b~ . •Total er.posed wall area above flonr = Zo 1 a. Total wall window area........~..•••:•••••••••••• , 2~7 b. 7ota1 door area s_~_.. t. 7ota1 sliding glass door area 40 d. Total fireplace wall area........ . _';S • • e. Total wall framing area (average 10~)............ f. Total net wall area above floar J~~'L g. Total, rim ~oist area • ~ Total~ekposed foundation area ` °t0 • 0 1. Toal~netufoundatloo areaadbove~grade~........:... „ 90 Determine "U" value of each wall segment. ~~5~ x puN 3PrLJ a . a . - b. ~'1~- X "U" ~120 ` ~a ~x ,3~b , ~ A.. . , _ d ~ X p_ . . e. ~SS__ X "U" ° . . f., 1392 x "u" _.oa3 F ( 31 x„~~~ . o d: l a ~ g• ' ~ h. ~ x M~~ ^ e. - ~ 1. 1 o X"U" , p a_ 7 _ _ . ' .TOta~ ~ L.11~ 3 If item ~3 1s the same as, or less tlian item fil. you have met the in[ent of 58G 6006(c)2. • . . , ~ - ~ ~ . , ~ . . , " /.r' . , . ~ ' . . I ~ . " ' ~ Total..exposed roof/ce111ng area ~ t33.3 . _ . • = ~ ' Total skylight area k. Total roof/ceiling framing area (average lOX).,, 1. Total net insulated roof/ceiling area..:.......,_ ~~wG q ~ • Qetermine 'U" value for each roof/ceiling segment. ~ . ~ • ' X' Null t ~ • • . k. ~ ~1 X "Un ~ t'~ ~f' ~ S ~ . 1:_ ~.I1 ~lq x MUp ~ o2Z zb ~'rt~ a . .........................ratai . ~ , • lf totat of i4 is the same as, or less than E2~ you have met the intent of SOC G006(c)1, • ' ~ Alternate Building Envelope Ueslgn T'o utilize the total envelope system method, the values established by the ' sWn af ltems f3 and /4 shall not be greater than the sum of ltems O1 and {2. 1• , . . { p . . , . . . =--r---~--- 3. . . + 4. . e. ' . - ~ • • ' : ' • . , , _ ~ . , ~ ; • ~ ' , ' ' • ~ • . • . . . . , , , K~~Y. . YllYf.i~ A1'1~~1~~~~ Xll~..~ PN _i-.a.n~:c..i. n~Y.r~ •O ` • ' ~ 1 NDOW ~IREA ~ . TYP1~ o~ ~1~I~N~pW t 6/g" iusve. 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R"• v~1~ua ~~`~TW~cKioR ~l~R f1~r1 ~ _ ~5 ~ 7- GVo•fllM WA1.b~O~lk t7. ,975 J/'LSO~~vVo~O ~ ` ' ~.._°_~a 2~.3~ sa~~rH~N~ ~ • Q _._...,~b'1 l.wP Sio?~ti 2~ ~ ' ' ~ ' VA~t a~aR~c~e. ~~rtt~ioR' ~~iC. 1'~~M ~ 0 89 orn~.' R..+~ . J~4ua ~ ~ . I/'-~ ~ 1 i o.e3s - . ~ ' Tor~~ roor~4c' ~NSU.I..AT~-~ ~K~A' B~TW~~M "STy05 . "R". v~~u.a ~ , bl rureeioa ,~~R IiLM • .45 ~4va~u.,~ y,/~~~denep IN5~4~AT 10N '(R~~`) ) ~.0~ ~ SN1.~ TN /H4.~UILT(=-1'T~ ~b7 ~~t sio~NG ~'P r~vo~. ~,~,..R.~cR. . . ' •~t~1.R.~ei'K. A~R• 1'~?,M. zZ.96rOfA~ VA~~?~- ~.u~+~?. I 2~• ~ 1 ToT~~ roor~a~. q<~ ~Mi?N.Ri . UAI'ct l~iuso_. . • ~ - • • ~ , ~ - r1 I~„~1~ V4~ ~ ~ 1~[t'b 9~MIir.S'i cr~~,5 .i~"'-~ dt' :.:wr~7 cs~•.L•r[rQ' ~rrr~..rr~~- , ~ . . Y ~J0~57I FR~Mitii4 /~Rt ~ ' ~ • • ' . ~R•. vA E ' .bl 1NTeRioR ~~R ri~M i . 75 ~ 5o~rwooo • 'S$ 5 ,,~+fYP3~1.M 1NA~LOOAiD -LZr lN.UC-h-riol-~ VAs~oR D4~~It~ ` ~17 INT~R~G~. A~R /~wM . . ~,.,~'~•I ~ ~OT ~1 L "Rw~ VAIU.[ ~4~ s N ~-~ry • 1 / ~L7. "]t{- n TeT~1. Foora~~ z zNSu4~Y~~ AR~A A~tw~~N tN~ ro~s,-s ~ 'JZ~ ~ NALL~~. 1 ' ,_,.~2L.ITNTtR10Q AiK fILM ' • A-~ ~INlkt~T?oN CR•¢~"- ) .S~ ~(~~(PJ4M WAUDW40 ~ ` " VA~R 0~~4~~R. ; i ! . ' (T INf[RIoK A!K f~~M I ~ ~ q.5.3 roT~1 ~ ~R.,;~ vA~u.~. , ~j, i I/wy w 1/ T??~~ t~ , ~ 'IbrAL r~ocr~c` a~.M ~ ~,•IN76 R, P~rr1 stqdrb . . ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELL2NGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2~SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTllRAL PLANS 1 SET OF ENERGY CALCULATZONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS . # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPZNG OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. ~NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MiIST SHOW A LICENSED PLUMBER. AUG 16 RECO To Be Used For: C Valuation: ~Da~ ~ Date: Site Address ~ Q~ ~/N/K~~ OFFICE USE ONLY Lot ~ Block FEES Occupancy Zoning Parcel/Sub Lfx~NbloH SQupR~ ~rnAD1~1~1, Actual Const Bldg. Permit Allowable ' Surcharge ~ Owner S/L(J~'~J/.~~t~J # of stories Plan Review ,,,L ~p Length ~(rj~t3a SAC, City Address rQ/~}~ _S/B/(/ B~(/C~~ Depth $K /q SAC, MWCC ~ ~p~I S.F. Total Water Conn City/Zip Code ~jr~v , j,S~v23 Footprint S.F. Water Meter ~ / Acct. Deposit Phone (p~p~ 7~/~~/r On site sewage_ S/W Permit y7 ~ / r On site well S/W Surcharge Contractor //~j/U/~~ /nl~ MWCC System ~ Treatment Pl. r~q r City water Road t3nit Address ~/~p -.dZ/ ~UL, S d. PRV Park Ded. Booster Pump Copies / O D City/Zip Code~~~~/(~, SUBTOTAL ~ APPROVALS Penalty Phone T~'~~~r~ p-~~ffN ~~'3J Planner ~ TOTAL '~G.R,~ Council ~ Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # 1260 YANKEE DOODLE ROAD CONSTRUCTION EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION~ LOT 9,BLOCK 4~LEXINGTON SQUARE 7TH ADD. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA S 89°46' 32" E 88~x~ 90.00 eas~4 DRAINAGE B UTILITY ~ EASEM1IENT ~ ' ~p ~ 5 30 ~ I LT9 LC?i ~ I N I I o ~ SCALE ~ I" = 30' J ~ 3 ~ ~K 3 ~ - I ~ o-_a~i'~ a9i`o g N io ~ N O as ~ PROPOSE~ 1, ~ tn ~ - 1~ 3p,g' N HOUSE ~Q~ O O - N ~ ~ ~e e~ ~ ~ N I z4' a' ~ ~ i m ~ 5.5' ~ GARAGE N I ~ ~ i ~ 10~ & ~ 22~ -0 SP/ti£ } I C~ -~j.~ - - - - - „m B95"27 ~ w m m ,o ~ ~ ; ~5 . z ~ Q o w.v. o Q 890 / 8y~„9 ~ 9~.~~ 893'S S 89°46' 32" E ~ N STONY POINT ROAD 890`B 892 4 8A3"0 LEGEND ~NVCRT ELEVATIGN AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATlON= o DENOTES SET.SPIKE PROPOSED FIRST FLOOR ELEVATION= aeo'o DENOTES EXISTING SPOT PROPOSEDBASEMENT F~OOR ° 84~r9~ ELE VATI ON E LE VATI ON DENOTES PROPOSED SPOT ELEVATION , „ , ,,.,,r~ .w,Tt3 ~DENOTES DRAINAGE DIRECTIQM ~~ivTE~ VER~~ ~ R..~ FLOQF kE~~~~.~ F1NAL HOUSE PLANS I hareby certify that ihis sutvey,pfan or report was prapared by ma or under my direct supervision and thaf I am a duly Bradley enson~ Mn. Req. No. 15235 ~ Reqisisred Land Surveyor under ths . Laws of the Stote of Minnesota. Dote ~ 2/S~B9 . ~ ~~m _ , C~~~ O~ LLL~LL~ i Pertnit ~r~--~ I ~ PertnR Fee: V~ ~ . 3830 Pilot Knoh Road ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i s~atr: i Fax:(651)675-5694 i ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: IO I~$ Stte Atldress: ~ ~.VJ ,JTOIV~/ Poln f~~(X ~~6l~~ ~~~Z~ Tenant: Suite RESIDENT/OWNER Name: JDEl~1 JlC.~E9CMj~~7/~// Phone: b~~' 6~~- ~'(9b Address / City / Zip: ~Qd~ r7 iCat~ CR6AA~ ~"~N c~S~Z,J Applicant is: Owner _ Contractor - TYPE OF WORK ~escription of work: R~FQ ~ ~ ~v~1~ S~Ct'~/I C' G~ ,~7tC. Construction Cost: MWti-Family Building: (Yes No~ CONTRACTOR Name: License Address: City: State: Zip: Phone: ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 767D Cateaorv 1 Minnesota Rules 7672 Energy Code . qesidential Venfilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Su6mittetl Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date antl address of master plan: Licensed Plumber: Phone: Mechanicat Contractor: Phone: Sewer & Water Contractor: Phone: ! NOTE: Plans and supporting, documents that yau submit are considesed to be publ(c information, Portions of r' the'info,",rrr~ation inay be dassifie`d as non publicriiyou pravide`speci~ic r`easo~s that ~votild permit the Clty tv~~ ~~x. _~condudethafthe ~~aretradeseciets., ~ ~ .,a I hereby acknowledge that this information is complete and accurate; tfiat the work will be in conformance with the ordinances and codes of the City of Eagan; ~hat I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permR; thffi the work will be in ~ accordance with the approved plan in fhe case of work which requires a review and approval of plans. x VpN~ TT . ~l /L(~~Z/Y1f~Y11 x . Up~~ Applicant's Printed Name A icanYs Signature Page 1 of 3 ~ C ITY O F E A G A N PAYMF:KI' OF FF~ AT TINJE OF ~ . y*. APPI,ICATION OOES DlO~f CtiDb`lI1LT1E ~ * APPROVAL OF PERbIIT. * APPLICATION FOR PERMIT * ~ II~LSPEILTION oF SEi~~R A[~ID/OR 4~TER * ~ *F n~-mnr.ramrpTS WII.L N(YP BE SQ~ * SEWER AND/OR WATER CONNECTION P~ruT ~s s~v * ~ . * ~PxavFn. * ~ * _ * ~ * . P ease Print ~ 1) pROPERTY ADDRESS: ~-r I~ J LEGAL DESCRIPTION: Lq ~ ~ 5' '7Ty . Lot Block Subdiv sion or Tax Parce ID ) ~ . IF E}QSTING S1RCY.`iL~RE, DATE OF ORIGINAL B[,~II,DING PERMIT ISSUANCE: . PRESENf 7ANING/PROPOSID L'SE: (Nbn Year - ~ COD~[2CIAL/REI'AIL/OFFICE O R-1 SINGLE FAMILY . Q IAIDIISTRIAL R-2 DL~PLEX (Ztao Cfiits) ~ INSTITS''TI~NAi'~GOV~~NT ~ R-3 ?UWl~iOUSE (Three + Units) ( Units) • R-4 APARZMEN'P/CObIDOMID7ICT1 ( Units) 2) .~iiT' NAME: ~,U~~-C'Ar_ ~~~i _ C~?)3~' ADDRE55: ~~~0 I ~I .s7 5 J CITY, STATE. ZIP:~j~_~_~_ U u PHONE: y 3 I ~d. ~ ~ 3) • ~ME. ~ For City Lse Plisnbers License: ADDRFSS: p ' Active CITY, STATE, ZIP: ` Expired Not recorded Pxor~: ~ - ~ r~s~a r~c~sa# ~.~~2 q s~~t~~ 4) . i~• ~a~C~.. C. I . ADDRESS: . CITY, STATE, ZIP: ~ PHONE: . 'S~ " a' • : a • ~ - ~~~PION 1b CITY SE~4ER ~ CON[~IIX.TION TO CITY F7FITER 0~'f~R 6) • • PLEASE HOLD APPROVID PEEiMIT FOR PICK-L~P BY ONE OF ABOVE ~ ~ PLEASE MAIL PRpVID PIItNIIT 1~ 1, 2, 3, 4, ABOVE ' (Circle one) ~ ~ ~3 ~1-~s'd'' ' ~ "1' • Y' 6 ~ ~ • I". • I~ •1 • ~S` 1~ ~•r. . P DI' . I~ 'JI' • 71• • DI• • • @• • ~ ~ ' ' ' _a- ~ •~~al Ui `-j • . : ~OR CITY USE ONLY - ~ PERMIT # ISSC~ED ,f.~ . Pd w/Bldg. Permit FEES: $ $ 'S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /C 5`: WATER PERMIT (INCLL~DE SDRCHARGE) $ ~ $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) $ $ SEWER TAP $ $ ~~S ~ L ACCOUNT DEPOSIT - SEWER ~ $ $ / 5 / G ACCOIINT DEPOSIT - WATER $ 5 ' C~ $ WAC $ G• ~ , ( ~ $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC~NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ J I • o C~ $ ~S I< <r D TOTAL ~ 7 ~7 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC~BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN POBLIC Q ROADWAY" MUST BE ISSLED By THE E[VGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: / APPROVED BY: ~-r rC-c~' ~yc' r-c: 7i-O TITLE: DATE : ~ PERMIT# ~ RECEIPTDATE: ~"5 0~ ~I~b~ ~ fi~SID~NTli4L ~LUM$IN6 ~M1T ~E~P~LIC~TION crrYog ~stuv ssso ~n.ar xxos gn f.~48Rft, MA 551EE 651-891-4B75 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigatlon system SITE A~DRESS: 57~Y ~ ~ ~ OWNER NAME: : V~~( ~ SI C~i}q TELEPHONE 6~ ~ 7~5~ (AREA CODE) INSTALLERNAME: M6~'I~IRE~~SAPV~ TELEPHONE#: ~~'gg7rO 60512th Avenue South I~~ CODE) STREET ADDRESS: CITY: , STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ~rN.~~ W~~ N~L~- Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I herehy acknowled9e that I have read this application, stale that the informatlon is correU, and agree [o complywith all applicable Cityaf Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal opere0onal and maintenance activities to the facilitles constructed under this permi[ wiN' City prope Iright-of-wayleasement. SIGN U OF RMITTEE Updated 1/01 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129132 Date Issued:01/13/2015 Permit Category:ePermit Site Address: 1003 Stony Point Rd Lot:9 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Ann Hoffman 505 Randolph Ave St Paul, MN 55102 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Silverman 1003 Stony Point Rd Eagan MN 55123 (651) 688-7496 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature • For Office Use *** s so' ::::: RJ Er EVER Date Received: Y/ 4/r 12:1:0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �a ��(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694Staff: :�� buildinginspectionscityofeagan.com FEBQ 1 2Q18 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �� Q� Si /tie P`/'Y/tt '1 Phone: ReslderaV: ,,,G r D C3Wf1Or Address/City/Zip: /0 05/ 6 1/,y �Q,,J4 J iJ Applicant is: Owner Contractor T f Work Description of work: d/ �'f✓' ,/ Z7l/`7'/�Te° kr/W17 o Construction Cost:_,--0, 7 Multi-Family Building:(Yes I No ) Company:tT� / ed 1 SJtf vl'✓'�(OKI Contact: f 2 7i1.2' —2_7 ({i‘ /0o Address: ' -air ' fro-e- ) Ci / Contractor rpt 7 city: e ww Stater Zip: 7 J�y77 Phone: 6l Z, / q j Email: �/C t D 4,5e-6? g%YlGt 1:14.2/77 i , License#:jet G 33/2r Lead Certificate#: If the project is exempt from lead certification, please explain why: /SU/A, 7- //1' g'r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: 'Phone: NOW Plans-and anti su rtin documents that your r?`It are considered to be public in :—..'.-,•.t.f,: :'.ns of °, Maio»may wed as non-public if yo rovide specificw .ns that would perm e y to �t they are trade.secrets. ` You may subscribe to receive an electronic notification from the City of proposed ordinances brsigning up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wor. is not to start without permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approv. ,f plans. xt x , _d oa,16L-4.-- Appli ant's Prin etri 44-1 me A•plicant's Signature RI / R e043 DO NOT WRITE BELOW THIS LINE AV S-166?S-166? #`47-P0/- SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) * Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement — Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior 4 Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation /5-00 - Occupancy pt / MCES System .-- Plan Review Code Edition opi j' SAC Units (25%_100% ✓) Zoning ,`),O City Water Census Code /'jay Stories — Booster Pump ._-- #of Units j Square Feet PRV #of Buildings / Length Fire Suppression Required --- Type of Construction -- e Width ___.- r.../- REQUIRED _.-REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) _Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS $' Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced WallsErosion Control Shower Pan Other: Reviewed By: i-----: , Building Inspector RESIDENTIAL F Base Fee 6 oZ. Surcharge Plan Review qvo -- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147751 Date Issued:01/31/2018 Permit Category:ePermit Site Address: 1003 Stony Point Rd Lot:9 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Silverman 1003 Stony Point Rd Eagan MN 55123 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164050 Date Issued:09/17/2020 Permit Category:ePermit Site Address: 1003 Stony Point Rd Lot:9 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Silverman 1003 Stony Point Rd Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168617 Date Issued:04/27/2021 Permit Category:ePermit Site Address: 1003 Stony Point Rd Lot:9 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Silverman 1003 Stoney Pt Rd Saint Paul MN 55123--156 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177460 Date Issued:07/01/2022 Permit Category:ePermit Site Address: 1003 Stony Point Rd Lot:9 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-090 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Silverman 1003 Stoney Pt Rd Saint Paul MN 55123--156 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature